| Regimental number | 5333 |
| Religion | Church of England |
| Occupation | Dairyman |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Brother, G Cooper, Maitland, New South Wales |
| Enlistment date | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |